Organization
MAPLEWOOD MANOR INC
Active
Other names
Maplewood Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MARY L RUNDE (PRESIDENT)
(641) 636-3400
Entity
Organization
Contact information
Practice address
204 N KEOKUK WASHINGTON RD, KEOTA, IA 52248-9496
(641) 636-3400
(641) 636-3150
Mailing address
204 N KEOKUK WASHINGTON RD, KEOTA, IA 52248-9496
(641) 636-3400
(641) 636-3150
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
540351
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0802512
—
IA
Enumeration date
10/04/2005
Last updated
03/19/2012
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